Information Collection

Eligibility Screening Survey - Licensed Anglers - Paper

IC 226321 under ICR 201710-0923-001 · OMB 0923-0056.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0056 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Eligibility Screening Survey - Licensed Anglers - Paper	Form and Instruction
Eligibility Screening Survey for Licensed Anglers (paper 5b.Eligibility_LicAngScrngSrvy_paper_revised clean.docx	Form and Instruction

IC Title:

Eligibility Screening Survey - Licensed Anglers - Paper

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Eligibility Screening Survey for Licensed Anglers (paper) 31OCT2017	5b.Eligibility_LicAngScrngSrvy_paper_revised clean.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 156

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	156	156
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.